Lazy Seal Freediving Club - New diver form
Please read first
The first part of this form (Personal details) is mainly optional, but would be very useful for us to keep you informed as to what is going on (generally via email) in the freediving community. The second (medical statement) and third (liability release and assumption or risk) parts are compulsory.

If you require the signature of a parent or guardian, please contact us directly.

Personal details
First name *
Your answer
Last name *
Your answer
Street
Your answer
Suburb
Your answer
Town
Your answer
Postcode
Your answer
Phone - cell *
Your answer
Phone - home
Your answer
Phone - work
Your answer
Gender
Date of birth *
MM
/
DD
/
YYYY
Nationality
Your answer
Email *
Your answer
Please tick if wish to receive information from the club by email (weekly training sessions, special events, competition announcements...)
Name of emergency contact *
Your answer
Their relationship to you *
Your answer
Their phone number *
Your answer
Previous experience
Please indicate if you have previous experience in any of the following and your approximate level (years) of experience:
None
Less than 1 year
Between 1 and 3 years
More than 3 years
Freediving
Spearfishing
Underwater rugby
Underwater hockey
Fin swimming
Interests
Please indicate what you are / might be interested in in terms of activities organised by the club.
Recreational level
Competition level
Pool - static (STA)
Pool - dynamics with fins (DYN)
Pool - dynamics no fins (DNF)
Ocean - constant weight (CWT)
Ocean - constant weight no fins (CNF)
Ocean - free immersion (FIM)
Ocean - snorkeling
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